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General NPI Number Information
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NPI Number | 1083915136
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Entity Type | Organization
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Legal Business Name | HUSAIN F NAGAMIA MD PA
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Dates
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Enumeration Date | 11/05/2010
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Last Update Date | 11/05/2010
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Provider Practice Location Address
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Address Line | 500 VONDERBURG DR SUITE 203 EAST TOWER
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City | BRANDON
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State | FL
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Zip | 33511-5964
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Country | US
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Telephone | 813-654-4466
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Fax | 813-684-5500
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Provider Business Mailing Address
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Address Line | 500 VONDERBURG DR SUITE 203 EAST TOWER
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City | BRANDON
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State | FL
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Zip | 33511-5964
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Country | US
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Telephone | 813-654-4466
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Fax | 813-684-5500
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. HUSAIN F NAGAMIA
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Credential | MD
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Telephone | 813-654-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME27045
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License Number State | FL
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